Clinical and cost effectiveness of percutaneous coronary intervention for patients with chronic coronary artery disease during overnight hospitalization
Basinkevich, A.B.; Matchin, Y.G.; Bubnov, D.C.; Silvestrova, G.A.; Shamrina, N.S.; Atanesyan, R.V.; Danilushkin, Y.V.; Skorobogatova, A.V.; Ageev, F.T.; Vladimirov, S.K.
Kardiologiia 2018(S3): 36-45
2018
ISSN/ISBN: 0022-9040 PMID: 29782288 Document Number: 697353
To evaluate cost effectiveness of coronary endovascular treatment in patients with stable IHD during "one-night" hospitalization. Using the cost-minimization analysis direct medical cost of coronary endovascular treatment in patients with stable IHD during the "one-night" hospitalization was compared with the "classic" hospitalization. The most cost-effective strategy for hospitalization of patients for transcutaneous coronary intervention (TCI) with stenting was the "one-night" hospitalization. Differences in direct medical costs (DMC) were statistically significant (p=0.01) in favor of the patient group hospitalized for one night. The "one-night" hospitalization plan for patients with stable IHD to undergo TCI with stenting increases the cost-effectiveness due to the decreased number of days of stay in the hospital and the associated decrease in cost of in-patient maintenance, which resultes in considerable financial savings (Δ between the hospitalization plans was 21.2 % in favor of the "one-might" hospitalization). This Δ indicates high cost effectiveness of the selected approach.